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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Healthcare Delivery Systems and Community Resources	10%	- Community-based services and resources - Healthcare policy and systems - Continuum of care settings - Interdisciplinary collaboration
Topic 2: Quality and Outcomes Evaluation and Measurements	10%	- Outcome measurement and analysis - Cost-benefit and effectiveness analysis - Accreditation and regulatory standards - Data collection and reporting - Performance improvement
Topic 3: Psychosocial Concepts and Support Systems	20%	- Family dynamics and support systems - Cultural competence and diversity - Behavioral change theories and models - Abuse and neglect recognition - Mental health and substance use considerations
Topic 4: Care Management	30%	- Caseload assignment and selection criteria - Client-centered care plan development - Cost containment principles - Medication management - Care coordination and collaboration - Evidence-based case management models and tools - Age-specific care application
Topic 5: Reimbursement Methods	12%	- Payment and reimbursement methodologies - Insurance principles and benefit structures - Managed care and accountable care concepts - Financial resources and negotiation - Coding and utilization review principles
Topic 6: Ethics, Legal, and Practice Standards	18%	- Professional ethics and conduct - Scope of practice and roles - Advocacy and patient rights - Confidentiality and privacy - Legal and regulatory requirements

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q135-Q140):

NEW QUESTION # 135
(Golden Principle 2 states that " The Particular Conditions must be drafted clearly and unambiguously. " Which statement best underlines this Golden Principle in relation to the FIDIC Red, Yellow, and Silver Books (both editions)?)

A. Modifications made to the Conditions of Contract during tender negotiations that were only documented in emails between the Parties can be part of the Contract as long as those emails are subsequently included in the List of Contract documents. In such a case, it is not necessary to incorporate those modifications in, for instance, the Particular Conditions.
B. In the Particular Conditions, all changes to the General Conditions must be clearly identified by reference to specific Sub-Clause numbers. Additionally, the Particular Conditions Sub-Clauses must clearly indicate the relationship between the newly introduced text and the corresponding General Conditions Sub-Clauses' original text, e.g., addition, omission, replacement, or amendment.
C. When clarifications are given during the tender period, which might impact several general conditions, it is not necessary to amend all these conditions through the Particular Conditions or to consider which exact general conditions require amendment, as such clarifications are deemed to be self-explanatory.
D. Clarifications to the meaning of tender documents together with answers to tenderers' inquiries made during the tender period by the Employer can be inconsistent. If Sub-Clause 1.5 does not provide for the right order, this Sub-Clause can be amended explicitly or implicitly, and this can be done through any of the documents mentioned in Sub-Clause 1.5.

Answer: B

Explanation:
FIDIC Golden Principle 2 (GP2) emphasizes that Particular Conditions must be drafted clearly, precisely, and without ambiguity, ensuring that any modification to the General Conditions is transparent and easily understood.
Option D directly reflects this requirement. It highlights that any changes to the General Conditions must be explicitly referenced to the relevant Sub-Clauses and must clearly indicate the nature of the modification (addition, replacement, omission, etc.). This approach ensures traceability, avoids confusion, and preserves the contractual clarity essential for proper administration and dispute avoidance.
Options A, B, and C all contradict the Golden Principles by promoting ambiguity or informal modification practices. Allowing inconsistent clarifications, relying on implicit amendments, or incorporating changes via emails without properly integrating them into the Particular Conditions undermines contractual certainty and increases the risk of disputes.
From a contract management perspective, clear drafting of Particular Conditions is critical to maintaining the integrity of FIDIC contracts, ensuring that all Parties have a shared and precise understanding of their rights and obligations.
Thus, Option D best reflects the intent and application of FIDIC Golden Principle 2.

NEW QUESTION # 136
Which two statements are correct regarding the FIDIC Red Book (edition 2017)?

A. There is never a difference in effect whether in the Particular Conditions when the term " Works " is used, or when the term " works " is used.
B. Contract Data contains information which is required by certain Sub-Clauses in the General Conditions.
C. Words and expressions stated in Sub-Clause 1.1 Definitions do not apply in respect of Specifications and Drawings.
D. In some cases, if a certain information is not provided in the Contract Data, the relevant Sub-Clause shall not be applicable.

Answer: B,D

Explanation:
Option B is correct: The Contract Data provides information required by specific Sub-Clauses in the General Conditions to complete the contract.
Option D is correct: If required data is missing in the Contract Data, some Sub-Clauses may not apply.
Option A is incorrect; definitions generally apply throughout the contract including Specifications and Drawings.
Option C is incorrect; case sensitivity of terms can affect contractual meaning.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 1.1 - Definitions and Contract Data FIDIC Contract Manager Study Guide, Module on Contract Documents

NEW QUESTION # 137
For the FIDIC Red Book (both editions), the Contractor is required to submit a progress report monthly.
When does the Contractor's reporting requirement end?

A. At the Date of Completion of the Works (irrespective of whether there is minor outstanding work to be performed).
B. Until all outstanding works as stated in the Taking-Over Certificate are completed.
C. After issuance of the Taking-Over Certificate.
D. After issuance of the Performance Certificate.

Answer: B

Explanation:
The Contractor's obligation to submit progress reports continues until all outstanding work identified in the Taking-Over Certificate has been completed. The Taking-Over Certificate signals substantial completion but may allow for outstanding minor works. Reporting is essential to monitor progress on these outstanding works.
The Performance Certificate relates to final contract completion but reporting usually ends earlier only after all works are completed.
Therefore, Option D is correct.
References:
FIDIC Red Book 1999 & 2017 Editions, Sub-Clause 4.21 - Progress Reports FIDIC Contract Manager Study Guide, Module on Communication and Reporting

NEW QUESTION # 138
In a construction project using the FIDIC Silver Book (edition 1999), if the Parties prefer the dispute board to be appointed on an "ad-hoc" basis instead of as a standing Dispute Avoidance and Adjudication Board (DAAB), what is it called? (1 correct answer applies)

A. Ad-hoc DB
B. Ad-hoc DAAB
C. DAB
D. Ad-hoc arbitration

Answer: C

Explanation:
Under FIDIC terminology, an ad-hoc Dispute Board is known as a DAB (Dispute Adjudication Board), which is appointed for specific disputes as they arise, rather than standing continuously.
The DAAB is a standing board appointed for the project duration, providing continuous dispute avoidance and adjudication.
Option D refers to arbitration, which is a different dispute resolution method.
References:
FIDIC Silver Book 1999 Edition, Clause 20 - Dispute Adjudication Board
FIDIC Contract Manager Study Guide, Module on Dispute Boards and Resolution

NEW QUESTION # 139
Under the FIDIC Red, Yellow, and Silver Books (edition 2017), if a Dispute is referred to the Dispute Avoidance and Adjudication Board (DAAB) to obtain its decision, the Parties shall suspend performing their obligations in accordance with the Contract, until they receive further directions from the DAAB. Is this statement true or false?

A. False
B. True

Answer: A

Explanation:
The statement is false. Under FIDIC 2017 editions, the referral of a dispute to the DAAB does not automatically suspend the Parties' contractual obligations. The works and contract performance generally continue while the dispute is adjudicated, unless otherwise agreed or ordered.
Suspension of obligations can disrupt project progress and is not encouraged by FIDIC procedures, which emphasize dispute resolution without delaying the work.
References:
FIDIC Red, Yellow, and Silver Books 2017 Edition, Clause 21 - Disputes and Adjudication FIDIC Contract Manager Study Guide, Module on Dispute Resolution

NEW QUESTION # 140
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